OrganizationActive
The Vaccine Shoppe, LLC
NPI 1194470682 · Non-Pharmacy Dispensing Site · Pittston, PA
The Vaccine Shoppe, LLC is a Non-Pharmacy Dispensing Site organization in Pittston, PA (NPI 1194470682).
Provider details
- NPI number
- 1194470682
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Jude Polit-Moran, President(570) 718-8406
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 Butler St
Pittston, PA 18640
Phone: (570) 762-9132
Street-level locationGet directions
Mailing address
205 Butler St
Pittston, PA 18640
Registry dates
- Enumerated
- 2022-02-14
- Last updated
- 2022-02-14
- Certified
- 2022-01-31
Frequently asked questions
- What is The Vaccine Shoppe, LLC's NPI number?
- The Vaccine Shoppe, LLC's National Provider Identifier (NPI) is 1194470682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Vaccine Shoppe, LLC?
- The Vaccine Shoppe, LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is The Vaccine Shoppe, LLC located?
- The Vaccine Shoppe, LLC's practice location on file with NPPES is 205 Butler St, Pittston, PA 18640.
- What is The Vaccine Shoppe, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Vaccine Shoppe, LLC is (570) 762-9132.
- Who is the authorized official for The Vaccine Shoppe, LLC?
- The authorized official listed on The Vaccine Shoppe, LLC's NPPES record is Jude Polit-Moran, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Vaccine Shoppe, LLC's NPI active?
- Yes — The Vaccine Shoppe, LLC's NPI (1194470682) is active in the NPPES registry as of the last update on 2022-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.